CMPA膳食管理|雀巢健康科学


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专家园地:CMPA膳食管理

在这些视频中,来自法国巴黎内克尔儿童疾病医院(Hôpital Necker-Enfants Malades)的克里斯托夫·杜邦教授(Christophe Dupont)简要介绍了CMPA及其疗法。

患CMPA婴幼儿

真实案例分析

每个婴儿不同的情况加上CMPA症状的多样性,导致诊断和膳食管理格外困难。在这里你可以看到几个患CMPA并成功治愈的婴儿的真实案例分析。

妈妈正在亲吻宝宝Dai

Dai,1个月大

便秘及哭闹不止

Oliver宝宝正在哭泣

Oliver,2周大

便秘,躁动

出现皮肤症状的Joey宝宝

Joey,4个月大

严重湿疹,尤其是脸上

Vivian宝宝正在睡觉

Vivian,6个月大

脸色苍白、嗜睡、脱水,且哭声无力

Harry宝宝正在哭泣

Harry,5个月大

进食后患疝气及应激性肠胃症状

蓝眼睛的Emily宝宝

Emily,7个月大

湿疹及反流症状

Oliver was referred to a dietician at 11 weeks of age with a history of constipation, unsettledness and reflux without vomiting. Oliver initially presented with these symptoms at around two weeks old and was seen by a paediatrician as an outpatient.


Oliver was currently on a standard formula and had previously been prescribed lactulose to help with his constipation. His weight was on the 50th percentile however his height could not be measured due to his distress.


An allergy focused history was taken. With a certain incidence of asthma in the family and a suspicion of non-IgE-mediated symptoms, an elimination diet was considered, with the exclusion of cow’s milk protein for two to eight weeks. The theory being that if symptoms do not improve then Cow’s Milk Protein Allergy is unlikely.


Three sample tins of the lactose containing, extensively hydrolysed formula (eHF), Althéra were prescribed and Oliver’s parents were asked to contact the dietician if they felt that any improvement was seen so that a prescription could be arranged.


After six days, Oliver’s parents phoned to say that Oliver was straining less to pass stools and was noticeably more settled. At the next appointment at 15 weeks (four weeks later), Oliver’s weight was on the 75th – 91st percentile and his height on the 50th percentile.


Oliver’s parents were really happy with his improvement; stools were being passed with ease and he was much happier overall. “Things are getting a lot easier and we are all less tense. It’s so good to see him on form.”  Althéra was well tolerated by Oliver and his weight had increased, although his intake was just under the recommended amount.


Oliver remained on Althéra and his parents were given guidance on cow’s milk protein-free complementary feeding and suitable first foods. 


参考文献

  1. Valdenplas Y, et al. A workshop report on the development of the Cow’s Milk-related Symptom Score awareness tool for young children. ActaPaediatr. 2015;104(4):334–9.